A. Personal data
First name:
Last name:
Preferred name:
Gender:
Male
Female
Mailing address:
City:
State
Zip code:
E-mail address:
(This e-mail address will be used for event
confirmation and future correspondence.)
Home phone:
Cell phone:
Parent/guardian name:
Parent/guardian phone:
Parent/guardian
e-mail:
Name of emergency contact:
Phone number for emergency contact:
(This contact must be reachable for the duration of
your stay on campus.)
Are you a U.S. citizen
or permanent resident?
Yes
No
B.
Ethnicity
(optional)
Are you Hispanic/Latino
(including Spain)
Yes
No
If yes, please
describe your
background:
Regardless of your answer to the prior question, please indicate you
how identify yourself. (Check all that apply.)
American
Indian or Alaska Native
(if you are enrolled, please enter Tribal Enrollment Number)
Asian
(including Indian subcontinent and Philippines)
Black or
African American (including African and Caribbean)
Native
Hawaiian or other Pacific Islander
White
(including Middle Eastern)
C. Family information
Parent 1:
Mother
Father
Unknown
Country of birth:
College (if any):
Year of graduation
Graduate school (if any):
Year of graduation
Occupation/employer:
Parent 2:
Mother
Father
Unknown
Country of birth:
College (if any):
Year of graduation
Graduate school (if any):
Year of graduation
Occupation/employer:
Will your
parent(s)/guardian(s) be accompanying you on this trip? Yes
No
If yes,
please list their first and last name(s) here:
(Please
note: We are not able to provide accommodations in the residence
halls for parents/guardians accompanying students to the Open House.
However, we are happy to assist parents/guardians
with overnight accommodations. Please contact our office. )
D . High school information
Counselor's name:
Counselor's
e-mail:
High school:
High school address:
Phone number:
Fax number:
If you
receive college counseling or assistance with your application
process from a community-based organization (such as Upward Bound, Prep for Prep, etc.), please specify:
E .
Transcript
and SAT/ACT scores (required):
Please have your guidance or college counselor fax or
mail a copy of your transcript and test scores
to:
315-228-7544 (fax) o r
Multicultural Open House
Colgate University
Office of Admission
13 Oak Drive
Hamilton ,
NY
13346
Please provide your highest
score for each section of the SAT, and/or your highest composite ACT
score in the space below.
Critical Reading SAT
Math SAT
ACT
Composite
F. Academic interests:
Please check the box that
best describes your academic interests. You can check all three boxes
if you are unsure. If accepted to attend the Open House this
information will allow us to effectively place you in a class that
would be of interest to you during your campus visit.
Social
sciences
Humanities
Natural
sciences and mathematics
G. Please list 3 of your primary activities and
honors in order of their interest to you:
1.
2.
3.
H.
Short
answer, 200 words or less (required) :
What aspect of college are you looking forward to
most?
I. Source
of Interest:
How did you hear
about Colgate?
How did you hear
about the Multicultral Open House?
J .
Transportation:
We have several ways to
assist you in getting to and from campus. Please indicate your
preference below.
From New
York Metro area:
We have
reserved seats on a bus that will take stu dents
and parents to Colgate the morning of
October 23
and
return to New York City the evening of October 24. Would you like to
have a seat reserved for you?
Yes
No
If yes,
will your parent(s)/guardian(s) ride the bus with you? Yes
No
If yes,
how many people in addition to you will ride the bus?
From Syracuse area:
Do you
intend to ride the provided van, departing from Shoppingtown Mall,
the afternoon of October 23
and
returning the afternoon of
October 24 ?
Yes
No
If yes, will your
parent(s)/guardian(s) ride the van with you? Yes
No
I f
yes,
how many people in
addition to you will ride the van?
Colgate will sponsor a shuttle to and from the Syracuse airport for
anyone traveling by air.
Other:
Colgate will provide
travel assistance to students who
demonstrate a need. Would you like someone to contact you to
discuss travel assistance?
Yes
No
Please contact the Office of Admission with any questions at
315-228-7401 or
admiss@colgate.edu .